HomeMy WebLinkAbout20223251.tiffRESOLUTION
RE: APPROVE APPLICATION FOR TIER I AMBULANCE SERVICE LICENSE AND
AUTHORIZE CHAIR TO SIGN - SOUTHEAST WELD FIRE PROTECTION DISTRICT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, pursuant to Section 7-2-100 of the Weld County Code, the Weld County
Department of Public Health and Environment and the Weld County Emergency Medical/Trauma
Services Council have reviewed the application of the Southeast Weld Fire Protection District for
a Tier I Ambulance Service License and recommend approval, and
WHEREAS, after review, the Board deems it advisable to approve said Application for a
Tier I Ambulance Service License, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the application of the Southeast Weld Fire Protection District for a Tier I
Ambulance Service License, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said license.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 21st day of November, A.D., 2022.
BOARD OF COUNTY COMMISSIONERS
WELD, COUNTY, COLORADO
ATTEST: dit,f4A)
Weld County Clerk to th- Board
BY:
AP
County Attorney
Date of signature: 11/23 /2-
ScotfK. James, Chair
M ke-Freftman, Pro-Te
teve Moreno -/A 25Lori Saine
cc: H L (1-6/6,0, Ort-t(RR)
12/12 /22
2022-3251
HL0054
Memorandum
TO:
FROM:
Scott James, Chair
Board of County Commissioners
Gene O'Hara, Interim Director
Department of Public Health & Environment
DATE: November 17, 2022
SUBJECT: 2023 Applications for Ambulance Service Licenses
Enclosed for the Board's review are 15 applications for ambulance service licensing, pursuant to Weld County
Code, Chapter 7, Emergency Medical Services, from the ambulance service providers listed below. The Weld
County Emergency Medical Trauma Service (EMTS) Council reviewed each application on November 16, 2022
and approved all 15 applications.
Changes from 2022 include the removal of Windsor -Severance Fire Protection District and Front Range Fire Rescue.
The areas previously covered by these two ambulance services will now be covered by UCHealth EMS. Additions
include PVHC dba UCHealth Lifeline, which will provide only critical care response, and Brighton Fire Rescue
District, whose application was previously submitted and approved in August 2022 for licensure through 2023.
Based on the delegated responsibility of the Department, we have reviewed the applications and have
deemed all ambulance services listed below to have met all applicable licensure application requirements as
per Chapter 7. As such, I am recommending the following ambulance service providers for licensure:
Tier I
Tier I (cont.)
Tier II
Banner Health
Paramedic Service / AMR
1801 16th St.
Greeley, CO
Platteville Gilcrest Fire
Protection District
202 Main St.
Platteville, CO
Ambulnz CO, LLC
2140 S. Holly St.
Denver, CO
Frederick Firestone Fire
Protection District
8426 Kosmerl PI.
Frederick, CO
PVHC dba UCHealth Lifeline
2450 S. Peoria St., 3`d Floor
Aurora, CO 80014
American Medical Response
of Colorado
3800 Pearl St.
Boulder, CO
Greeley Fire Department
1155 10th Ave.
Greeley, CO
Southeast Weld Fire
Protection District *
95 W. Broadway Ave.
Keenesburg, CO
Tier III
Mountain View Fire
Protection District
3561 Stagecoach Rd.
Longmont, CO
Thompson Valley EMS
4480 Clydesdale Pkwy.
Loveland, CO
Stadium Medical, Inc.
695 Canosa Ct.
Denver, CO
North Metro Fire
Rescue District
101 Spader Way
Broomfield, CO
UCHealth EMS
3509 S. Mason St.
Fort Collins, CO
Mile High Ambulance Service
3251 S. Zuni St.
Englewood, CO
Platte Valley Ambulance Service
1750 E. Egbert St.
Brighton, CO
2022-3251
k1/2k N Wb54-i
WAVATAWAVATNAnAnATNAWAVAT knATTA AA AAA A A_ A A A AAAA_AAAAAA Yr/
WELD COUNTY DEPARTMENT OF
1 PUBLIC HEALTH & ENVIRONMENT
1 �
1 License to Operate Ambulance Service
TIER I
SOUTHEAST WELD FIRE PROTECTION DISTRICT
Name of Service
95 WEST BROADWAY AVENUE, KEENESBURG, COLORADO 80643
Address
SOUTHEAST WELD FIRE PROTECTION DISTRICT
Name of Owner
IS LICENSED UNTIL DECEMBER 31, 2023, TO OPERATE AN AMBULANCE SERVICE IN WELD COUNTY IN ACCORDANCE
WITH EXISTING WELD COUNTY RULES AND REGULATIONS.
tt!OV 2 1 r)e
BOARD OF WELD COUNTY COMMISSIONERS DATE
NOT TRANSFERRABLE / POST IN A CONSPICUOUS PLACE
Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-39 of the Weld County Code.
drKKEKKKAviavnavgAvavrnyzerAgavavKKKAvartravicavAvKKKKArgAti
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue, Greeley, CO 80631 www.weldheolth.org
Recommendation of the Weld County Emergency Medical/Trauma Service Council
for: Southeast Weld Fire Protection District (SEWFPD)
As required in Section 7-2-100.B.5., the EMTS Council should review the application to assess as to whether
the ambulance service will contribute to an efficient, effective, and coordinated emergency medical response
to residents of the County? Please include any findings related to response time, coordination with other
ambulance services, location, service area, etc. that is the basis for the Council's recommendation:
FINDING #1:
The EMTS Council Voting members have reviewed the above -noted agency and find that they contribute to an
efficient, effective, and coordinated emergency response as a Tier I service. SEWFPD provides 911 treatment
and response to the citizens and guests of its response district. Also, they provide this service for areas with the
Hudson Fire Protection District. Whenever requested by neighbor agencies for assistance, they respond and
assist when the system is overwhelmed.
FINDING #2:
The members of the SEWFPD are dedicated to delivering excellent and timely service. The EMTS Council
Voting members did not identify any negative findings relating to the service performed by the applicant.
FINDING #3:
In the overall review, the EMTS Council membership does not find any matter that would prohibit a
recommendation to the Weld County Board of County Commissioner.
Recommended Level of Service: TIER I -
Recommended Service Area:
The service area indicated within the applicant's application packet is acceptable to the Council.
Other EMTS Council recommendations or comments:
The EMTS Council membership unanimously votes to recommend SEWFPD for a Tier I Weld County
Ambulance License.
Recommendation By:
Matt Con +e' Council Chair
Page 1 of 1
Date: ////`/ZZ
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org
AMBULANCE SERVICE LICENSE APPLICATION
Date of Application: '& `/4./i e a a.
Name of Ambulance Service: 5� « >x r / ltie/ ,
Owner:
Name: 5a 4' 4,,r2 1 r -c /d ' _a .n,
Address: 4i'5 4%r /,Zr- Pc an eic y A✓ a, 4e,eS�H, 8 86G y3
Phone Number: 30 -7 3 a - ye2 o
Operations Manager:
Name: o
Address: 4 S.— ar' ,2c x-,1 -vck y �.� e /Svc., r s�a«. 86 s'3
Phone Number: ge 3 - 3 - ya, 3
Email: v--6 C w c ti ,e s
Medical Director:
Name: 6,, t�k , a / ,a. �/ N9-3
Address: f%a-n Ara: r, e C.,4_4,, •`? n y y el cLI-o a'otoe 1
Phone Number: ,fie'
Name and address of each stockholder of partner owning 10% or more of the outstanding stock
of the company of having more than a 10% ownership interest (if applicable):
What area of Weld County will be served by this company? Please attach a map indicating
the service area.
sI a% Ca v a
Health Administration Public Health b Envhonmenlal Hr.. Commun.... Emergency Preparodness
VRaI Records Clinical Services Services Education t Planning it, Response
Tele:970-304.6410 Tele:970-304-6420 Tele:9..304-6415 Tefe:970-304-6470 Tele:970-304-6470
Fax: 970-304-6412 Fax: 970-304-6416 Fax: 970-304-6411 Fax: 970-3046452 Fax: 970-304-6452
PubliCH..t]i
Page 1
How many ambulances do you operate? 2
Location and description of the place(s) from which this ambulance service will operate. If there
are more than two locations, attach a separate sheet with the above information.
Location #1:
Street Number: V / U
City:
Location #2:
Street Number: Lo S -.
14yy ti
State: C u Phone: Se -5 , 3 a
Cpr zI j 4 a
City: 4,,, e L �1 State: C Phone: 3r 3 - ) 3 - 4'3 a 3
As required in Section 7-3-30 of the Weld County Code Ordinance and Chapter 4 Section 6 of
the CDPHE Emergency Medical and Trauma Care System regulations, as of the date of the
application, are you in compliance with the minimum data collection and reporting of
transportation and/or treatment of patients: -
Yes ❑ No
As required in Section 7-3-40 of the Weld County Code and Chapter 3 Section 3 of the CDPHE
Emergency Medical Services regulations, as of the date of the application, are you in compliance
with the reporting requirements of the agency profile:
Aes ❑ No
Please read carefully:
Sec. 7-2-10 License for Ambulance Service. No person shall provide or operate an ambulance
service publicly or privately in the County sinless that person holds a valid license to do so issued
by the Board of County Commissioners, except as provided in Section 7-2-80 below. The fee for
said license shall be set by separate ordinance. The license shall issue only in the following tiers
of service:
Tier I: Licensure authorizing for Primary Care, as defined in Section 7-1-30 of this Chapter.
Tier II: Licensure authorizing for transports of patients that originate in Weld County from
licensed medical facilities. This licensure does not provide for primary care, as defined in
Section 7-1-30 of this Chapter.
Tier III: Licensure authorizing for Standby Service, as defined in Section 7-1-30 of this Chapter.
Level of Service Requested: Tier I ❑ Tier II ❑ Tier III
Page 2
I HEREBY CERTIFY THAT I AM AUTHORIZED TO SUBMIT THE FORGOING APPLICATION AND THE
INFORMATION PROVIDED IN THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND
BELIEF AND CONTAINS NO WILLFUL MISREPRESENTATION OR FALSIFICATION.
IN ADDITION, I CERTIFY THAT I HAVE READ AND UNDERSTAND THE PROVISIONS AND
REQUIREMENTS OF WELD COUNTY CODE CHAPTER 7, INCLUDING, BUT NOT LIMITED TO,
SECTION 7-8-10, WHICH ENCOURAGES ALL LICENSED AGENCIES PROVIDING EMS RESPONSE IN
WELD COUNTY TO MAKE A GOOD FAITH EFFORT TO EXECUTE WRITTEN MUTUAL AID
AGREEMENTS WITH ALL OTHER EMS PROVIDERS LOCATED WITHIN OR BORDERING ON THEIR
AREAS OF RESPONSE.
DETERMINATION THAT AN AMBULANCE SERVICES LICENSE HAS BEEN ISSUED BASED ON FALSE
INFORMATION CONSTITUTES GROUNDS FOR LICENSE REVOCATION AND POSSIBLE CRIMINAL
PROSECUTION.
� c .t --E-
.2—ture of Applicant Title
VA- A-0 2. Q...
Date
SUBSCRIBED AND FFIRFIED BEFORE ME THIS /%
DAY ' 20 G2 2 , IN THE COUNTY OF
STATE OF COLORADO.
IRENE M BURKE-HYBERG
Notary Public
State of Colorado
Notary IC R 20174003247
My Commission Expires 01-20-2025
fir'
Signature of Notary
Fly Commission expires: Cl 02&Z5
*Please make additional copies as necessary.
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EMS Dispatch Zones
Zone Code
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J SEana$
&USIEA
4lXCE
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SOUTHEAST
SOUTHEAST WELD AMBULANCE
EMS DISPATCH ZONES
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8/16/2022
To Whom It May Concern:
Southeast Weld Fire District has mutual aid agreements with Platte Valley Ambulance Service, Bennett
Fire District, Strasburg Fire District and Morgan County Ambulance. In addition, we have a mutual aid
agreement with all Weld County Fire Districts and "verbally" with Banner Paramedic Service and Weld
County Regional Communications Center.
Sincerely,
Tom Beach
Fire Chief
Southeast Weld Fire District
303-732-4203
Hello